The recent revival of the coronary artery bypass technique without extracorporeal assistance constitutes one of the major revolutions in the cardiovascular community in the last decade. Criticized by some1 and praised by others, off-pump surgery has left nobody indifferent. By simply typing βoff-pum
Off-Pump Coronary Artery Bypass
β Scribed by Tohru Asai, Masami Ochi, Hitoshi Yokoyama (eds.)
- Publisher
- Springer Japan
- Year
- 2016
- Tongue
- English
- Leaves
- 235
- Edition
- 1
- Category
- Library
No coin nor oath required. For personal study only.
β¦ Synopsis
This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients.
Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan.
This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
β¦ Table of Contents
Front Matter....Pages i-xii
Front Matter....Pages 1-1
OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan....Pages 3-14
Statistics of OPCAB in Japan....Pages 15-23
Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan....Pages 25-36
Front Matter....Pages 37-37
Indication and Safe Strategy....Pages 39-44
Approach....Pages 45-49
Intraoperative Management and Anesthesia....Pages 51-58
Controversy: Volume Load vs. Vasopressor....Pages 59-66
Urgent Pump Conversion: When Does It Occur and How Can We Prevent It?....Pages 67-70
Exposure....Pages 71-74
Stabilization....Pages 75-86
Securing the Distal Anastomosis Site: Coronary Artery Occlusion, Shunt, and Blower....Pages 87-91
Graft Planning....Pages 93-100
Controversy: Composite Grafts Versus Individual Grafts....Pages 101-109
Harvesting: Tip and Pitfalls....Pages 111-120
GraftβCoronary Anastomosis in Off-Pump CABG....Pages 121-126
Coronary Endarterectomy and Long Onlay-Patch Grafting....Pages 127-130
OPCAB Proximal....Pages 131-135
Intraoperative Graft Assessment OPCAB Made in Japan....Pages 137-149
Stroke....Pages 151-154
Patient Management OPCAB....Pages 155-159
Front Matter....Pages 161-161
Redo Operation....Pages 163-174
Combined Surgery (TAA, AAA, or Cancer) Concomitant or Staged Surgeries?....Pages 175-180
Difficult Heart....Pages 181-186
Difficult Coronary OPCAB Made in Japan....Pages 187-194
Off-Pump CABG for Patients with End-Stage Renal Failure....Pages 195-197
Front Matter....Pages 199-199
How Do We Teach Off-Pump Surgery to the Next Generation?....Pages 201-207
Front Matter....Pages 209-209
Hybrid Approach (OPCAB+PCI/TAVI/Debranching TEVAR)....Pages 211-217
Robotic Surgery....Pages 219-225
OPCAB Combined Regenerative Surgery....Pages 227-233
Back Matter....Pages 235-239
β¦ Subjects
Cardiac Surgery; Cardiology; Minimally Invasive Surgery
π SIMILAR VOLUMES
<p>This book discusses the principles, applications, benefits, and pitfalls of off-pump coronary artery bypass (OPCAB) surgery, and provides information on the surgical strategies adopted and the anesthetic management considerations for patient undergoing OPCAB surgery.</p>
<p><P>The second edition of this book provides updated knowledge about the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. The reader will find first-hand information on arterial grafts as well as vein grafts with regard to biological characteristic